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Phase II Grower/Processor Applicant Information
Page 1 of 99 July 31, 2018
REGION 1 – SOUTHEAST
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1001 PHL CanGrow LLC Limited Liability Company
30 South 15th Street Philadelphia PA 19102 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PHL CanGrow 3780 North 2nd Street Philadelphia 19140 Philadelphia Philadelphia
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lester Hollis Entrepreneur CEO/President Wen Chau Restauranteur/CEO CFO Camille Tindal Grower Garden Director
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 2 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1002 DocHouse LLC Limited Liability Company
8080 Old York Road, Suite 225 Elkins Park PA 19027 215-277-1410 215-277-1752 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
DocHouse LLC 317-325 Pottsville Street Schuylkill 17901 Pottsville Norwegian Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Richard William Radebach Businessman CEO Jamie Eden Gottlieb Physician CFO Christine Denise Moriconi Doctor Patient Care Director Jessica Radebach Nurse Anjali Mude Lazarow Nurse Taylor Readyhough Horticulturalist Horticulture Director Adam Lazarow Attorney Member Matthew James Radebach Businessman COO Justin Stefan Moriconi Attorney CCO Scott Lawrence Gottlieb Physician Medical Director Mark Everitt Retired Police Security Director William John DeVinney Operations Director Shanita Renee Penny Businesswoman Sales Manager Michelle Gottlieb Nurse
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 3 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1003 Matrix-PA LLC Limited Liability Company
8 Red Oak Rod Wilmington DE 19806 302-547-4454 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Matrix-PA LLC 380 Starr Road Avondale 19311 Chester New Garden Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Richard William Radebach Businessman CEO Jamie Eden Gottlieb Physician CFO Christine Denise Moriconi Doctor Patient Care Director Jessica Radebach Nurse Anjali Mude Lazarow Nurse Taylor Readyhough Horticulturalist Horticulture Director Adam Lazarow Attorney Member David Zachery Tuttleman Businessman Member Nicholas F DeSanctis Attorney Member Annette Radcliffe Business Owner Member Wendy Melissa Hackman Member Matthew James Radebach Businessman COO Justin Stefan Moriconi Attorney CCO Scott Lawrence Gottlieb Physician Medical Director Mark Everitt Retired Police Security Director William John DeVinney Operations Director Shanita Renee Penny Businesswoman Sales Manager Michelle Gottlieb Nurse
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 4 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1004 M3C AGRICULTURE, LLC
Limited Liability Company
1261 Division Highway EPHRATA PA 17543 717-575-0005 717-738-1453 kylewagner@m3cagric
ulture.com
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
M3C Agriculture 24 Eagle Drive #3 Leola 17540 Lancaster Upper Leacock
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kyle Benjamin Wagner Entrepeneur President/CEO Geoffrey Scott Nolt Dentist Vice President Darien Jame Covelens Technology Executive Treasurer/Secretary
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 5 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1005 MedGarden, LLC Limited Liability Company
414A W. Knowlton Road Media PA 19063 484-368-2338 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
MedGarden 414A W. Knowlton Road Media 19063 Delaware Aston Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Karen McKee Owner and Philanthropy Events Leader, The McKee Group Chairwoman Jennifer Lynn McKee Vice President, The McKee Group CEO Kathryn Lauren Black Vice President and Associate General Counsel, The McKee
Group Chief of Legal Affairs and Compliance
Frank Joseph McKee Real Estate Development, President, The McKee Group Principal, Financial Backer Sue Ellen Alderman Nurse Educator Patient Outreach Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 6 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1006 Agri-Kind LLC Limited Liability Company
511 Anthonys Drive Exton PA 19341 610-656-8083 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Agri-Kind GP 102 Broomall St. Chester 19013 Delaware Chester City
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jon Cohn Occupationally Disabled Consultant/Entrepreneur CEO/COO Craig McHugh Podiatrist/Ambulatory Care Center Owner COO / CMO Kumar Bhargava Drug Development Director Merck / Business
Development Chief Research Officer
Rebekah Watson Pharmacist/Medical Information Manager Director of Outreach & Care Tejas (TJ) Ajmeri Finance- Innovative Hospitality Management CFO Scott Zukin Real Estate Developer Community Development Director
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 7 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1007 SOL of Pennsylvania LLC
Limited Liability Company
2124 Queensguard Rd Silver Spring MD 20906 703-244-5148 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
SOL Cultivation Center 5000 Flat Rock Rd Philadelphia 19127 Philadelphia Philadelphia
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Derrick Shawn Frost SVP Operations CEO Dwyane Mitchell Account Executive Head of Sales & Business Development Lucinda-Marie Ware VP of Media & Communications Head of Government & Community Affairs
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 8 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1008 Greenmart of Pennsylvania, LLC
Limited Liability Company
815 N Orianna Street #A Philadelphia PA 19123 724-856-0323 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Greenmart 3101 W. 6th Street Chester 19013 Delaware Chester
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Elizabeth Stavola Operations Owner/CEO/Financial Backer Tenisha Williams Community Outreach VP Julie Winter General Manager - Dispensary COO Jason Gully COO Operations Director Tenisha Kerra Victor Project Manager Rose Schultz Assistant Manager Justin Joel Gonzalez Director of Cultivation ops Obiajulu Nwizugbo Wholesale Manager Julie Ann Winter COO east coast ops Myles Remson Trim room manager Victor Madril Marketing Director Kyle Aaron Renz Patient Consultant Leo Marcel Bridgewater LMR Technician Kristen Shaunte Dade-Simms HR admin Trisha Scott Chris Wendell Collins Director Miles Douglas Thompson Assistant project scientist Ashli Gaulette Nurse
Phase II Grower/Processor Applicant Information
Page 9 of 99 July 31, 2018
First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Bryant Pierce Lead extractor Dr.Krishna Singh Nuclear Scientist Caroline Clark Retired Captain Saleha Qamer Awan Finance Associate Ibere Calvo Medical Marijuana Cultivation
Consultant and Hydroponic Store Owner Director of Cultivation
Julie Ann Winter COO east coast ops Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 10 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1009 Delaware Valley Health and Wellness, LLC
Limited Liability Company
1801 Market St. Suite 2300
Philadelphia PA 19103 201-253-6982 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality Delaware Valley Health and Wellness, LLC 200 C Furnace St. Birdsboro 19508 Berks Birdsboro
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kenneth Wilbur Thompson Business owner Member Adrienne M McKinney Principal Community Liason Vishal R Patel Principal Vice Pres. Jusmin R Patel Principal President
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 11 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1010 Tribe Penn, LLC Limited Liability Company
627 Patriot Lane Phoenixville PA 19460 845-803-1753 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Tribe Penn, LLC 370 George Patterson Blvd. Bristol Township 19007 Bucks Bristol
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business James Joseph Gillece Principal at Geese Holdings Chairman Corey Lavon Barnette Founder & Chief Executive Officer of District Growers Chief Executive Officer Gregory Malik Burnett Physician Chief Operating Officer Robert Karl Kurz Chief Investment Officer, Tribe Companies, LLC Chief Investment Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 12 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1011 PharmaCann Penn Plant LLC
Limited Liability Company
1735 Market St, Ste A #456 Philadelphia PA 19103-
7501 708.919.5641 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PharmaCann Penn Plant LLC 150 Roebling Road Fairless Hills 19030 Bucks Fairless Hills
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Teddy Scott Business Executive Chief Executive Officer Stephen Schuler Private Equity Executive Executive Director and Investor Norah Scott Consultant Co-Founder and Passive Investor
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 13 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1012 Soulful Harvest Inc. S-Corporation 976 Clyde
Lane Philadelphia PA 19128 215 668 8940 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Soulful Harvest 7601 State Road Philadelphia 19136 Philadelphia Philadelphia
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jacque Whaumbush Retired Sheriff Founder, CSO Alan Bottorff Businessman CEO Adrianne Mollins Mrs. Owner of Legal Marijuana Cultivation CFO Bobban Subhandra Mr. Pharmaceutical Research CMO Gerald Thomas Mr. Network Systems Engineer CTO Anthony Mollins Owner of Legal Marijuana Cultivation COO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 14 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1013 Soulful Wellness of PA
Limited Liability Company
208 Eisenhower Lane North Wales PA 19454 4848889578 6107384920 [email protected]
m
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Jenkin’s Court Reality 610 Old York Rd. Jenkintown 19046 Montgomery Jenkintown
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Donna Ross Management CEO & CCO Jason Mitchell Management COO Gregory Carroll Management CFO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 15 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1014 MLH Explorations, LLC
Limited Liability Company
308 E. Lancaster Ave., Suite 300 Wynnewood PA 19096 610-896-
2050 610-862-3917 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Solterra Care Grow/Process Facility 150 Roebling Road Fairless Hills 19030 Bucks Falls Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business William Landman Principal, Mainline Investment Company Financial Backer, Principal (Board member of
MLH Holdings, LLC a parent entity of MLH Explorations, LLC)
Jeff Cook Chief Financial Officer, Pepsi and National Brand Beverages, Ltd.
Principal (Board member of MLH Holdings, LLC a parent entity of MLH Explorations, LLC)
James Connolly General Management Chief Executive Officer (CEO) Albert Parker Attorney General Counsel & Chief Compliance Officer
(CCO) Brooke Worster Physician/Assistant Professor of
Medicine/Program Director; Palliative Care Service Department of Family & Community Medicine, Jefferson University Hospital
Chief Medical Officer (CMO)
Mark Scialdone Principal; Ph.D Chemistry Chief Science Officer (CSO) Robert Gorovitz Accountant Financial backer, Principal (Board member of
MLH Holdings, LLC a parent entity of MLH Explorations, LLC)
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 16 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1015 TRUEMED HEALTH CARE PA LLC
Limited Liability Company
1801 Market St Suite 2300 Philadelphia PA 19103 267-338-1368 267-338-1335 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality Nirvana Center Grower Processor Facility Portland 60 Portland Rd West Conshohocken 19428 Montgomery West Conshohocken
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ihasan Ullah Medical Marijuana Business Operator CEO Sheraz Ahmad Warraich Medical Marijuana Business Operator CFO Nighat Naseem Ullah Medical Marijuana Business Operator Sarah Michelle Warraich Medical Marijuana Business Operator COO Huma Ihsan Ullah Medical Marijuana Business Operator CMO
Pedro J Sotomayor Medical Marijuana Licensing & Compliance Consultant Director of Marketing
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 17 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1016 SC PENNSYLVANIA, LLC
Limited Liability Company
1801 Market St Suite 2300 Philadelphia PA 19103 484-797-5950 267-338-1335 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality SC Pennsylvania Tremont Cultivation Center 284 SR RT 209 Highway Tremont 17981 Schuylkill Tremont Borough
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 18 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-1017 Pennstar Med, LLC
Limited Liability Company
255 S. 17th Street, 20th Floor Philadelphia PA 19103 215-272-7112 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PennStar Med Philadelphia 5213 Grays Avenue Philadelphia 19143 Philadelphia Philadelphia
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Darryl Andre Hill Business Owner CEO, Secretary and Treasurer Seth Carter Murphy Principal Vice President, Assistant Secretary, Assistant Treasurer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 19 of 99 July 31, 2018
REGION 2 – NORTHEAST Business Information
ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2001 PA Precision Formulations LLC
Limited Liability Company
2270 Park Place Slatington PA 18080 570-468-8832 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality Northeast Hazleton – Cultivation and Processing
100-106 Maplewood Drive Hazleton 18201 Luzerne Hazle
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Anne Yang-Dwyer CEO CEO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 20 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2002 Pier Cove LLC Limited Liability Company 311 North Aberdeen St Chicago IL 60637 312-243-5900 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality Justice Grown Cultivation and Processing Center Site 35A Humboldt Industrial Park Hazle Township 18201 Luzerne
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Vanessa Ferber-Kruger Medical Marijuano - Operations CEO - Pennsylvania Jamil Taylor Medical Marijuana - Operations Chief Operations Officer Danielle Loevy Diversity Training and Education Chief Diversity and Human Resource Officer Shivawn Brady Medical Marijuana Cultivation and
Education Direction of Medical Marijuana Training and Education
Richard Silverstein Medical Marijuana – Business Development
CEO (Parent Company)
Krzysztof Krakowiak Financial Officer / Accountant CFO Chris Hayes Medical Marijuana Cultivation Direction of Medical Marijuana Cultivation
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 21 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2003 Sanctuary Medicinals of Penn LLC
Limited Liability Company
1425 Locust Street Unit 6B Philadelphia PA 19102 941-927-8700 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Sanctuary Medicinals of Penn LLC 100 – 106 Maplewood Avenue Hazleton 18202 Luzerne Borough of Freeburg
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jason Alan Sidman CEO/Founder CEO/COB Kahoru Watanabe Entrepreneur/COO Sanctuary Florida Director of Diversity and Community
Affairs/Board Jacqueline B. Watanabe Attorney Corporate Secretary of the Board Tony John Payton Lobbyist Board Thane Martin Entrepreneur/CPA CFO/Treasurer Franklin Evaristo Caldera Physician Chief Medical Officer (CMO) Steven Zachary Johnson II CEO/Entrepreneur COO Kirti Desai Real Estate Developer/Investor Board Kahiga Tiagha Entrepreneur/Attorney Board/Director of Compliance James Charles Alex Entrepreneur/President Sanctuary Medicinals Board Mark Anthony Johnson Entrepreneur/Security Consultant Director of Security
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 22 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2004 Tri-Mountain Pure, LLC
Limited Liability Company
8 West Broad Street, Hazleton PA 18201 570-491-8101 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Tri-Mountain Pure, LLC 2100 & 2200 North` Park Drive, Humboldt Industrial Park Hazle Township 18202 Luzerne Hazle Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Neal DeAngelo III Businessman/Real Estate Developer President/Managing Member Tiffany Coomer Administrator/Treasurer Member/Director of Human Resources Michael Brian Hayford Executive Chief Executive Officer Timothy Walters Executive Chief Operating Officer Theodore V. Daniels Security Consultant Chief Security Officer William Lockwood Spear Pharmacist Director of Dispensary Operations Paul J. Wiegand M.D. Medical Doctor Chief Medical Officer Alfred J. Fasano Executive Vice President of Sales Dwight Alexander Bailey Information Tech. Executive Chief Information Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 23 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2005 BrightStar Biomedics LLC
Limited Liability Company
425 Spruce Street, Suite 200 Scranton PA 18501 717-461-8295 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Bright Star 3680 Laurel Run Road Laurel Run 18706 Luzerne Laurel Run
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robert Vitale President & CEO, Horizon Facility Services CEO Josh Genderson President & CEO COO Josephine Vitale Medical Device Sales Manager President Ronald Anthony Furiato, Jr. Medical Device Sales Security manager Martin Karl Till Regional President at J.G. Petrucci Company, Inc. General Manager Megan P. Shank Director of Sales & Medical Cannabis Education VP Sales Adam Kavalier Chief Scientific Officer Holistic Remedies and
Organic Wellness Chief Scientific Officer
Katie Donna Day Rev. Reverend Advisory Board Michelle Zenie Non-Profit Executive Director Adv Bd Samantha A. Edwards Media Specialist, Parkland School District Owner only Vince Canales President of Fraternal Order of Police VP Security Sarah Rae Edwards Housewife Owner only Diane Molewski Housewife Principal, Financial Backer Dona Elizabeth Hall Occupational Therapist Owner only Mark Li MD, PhD Chief, Division of Neurosurgery Chief Medical Officer Farooq A. Qureshi MD Physician Clinical Program Director
Phase II Grower/Processor Applicant Information
Page 24 of 99 July 31, 2018
First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Alan T Paynter M.S. Associate Director of Admissions, Dickinson
College Diversity and Inclusion Officer
Teresa F Winslow MD, N/A Management Consultant/University Executive Head Pharmaceutical Standards, QC Manager
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 25 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2006 Natural Care LLC Limited Liability Company
PO Box 145, 1234 Long Pond Road Long Pond PA 18334 267-918-
2130 570-643-1423 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Natural Care, LLC 1234 Long Pond Road Long Pond 18334 Monroe Tunkhannock
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Marilouise Rose Mattioli Chairman, Pocono Raceway CEO/Chairman
Michele Rose Mattioli-Kulick Executive Director of Archives and VIP Hospitality, Pocono Raceway Secretary/Treasurer
Ashley Rose Walsh Secretary/Treasurer, Pocono Raceway President Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 26 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2007 Delaware Valley Health and Wellness, LLC
Limited Liability Company
1801 Market St. Suite 2300 Philadelphia PA 19103 201-253-6982 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Delaware Valley Health and Wellness, LLC 120- 160 Union St. Allentown 18102 Lehigh Allentown
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kenneth Wilbur Thompson Business owner Member Adrienne M McKinney Principal Community Liason Vishal R Patel Principal Vice Pres. Jusmin R Patel Principal President
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 27 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2008 PAMJ LLC Limited Liability Company
109 Drayton Circle Lansdale PA 19446 267-663-8424 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
United Farm Products 322 Rocky Road Hazleton 18201 Luzerne Hazleton
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ashish Joseph Financial Analyst and Business Owner Rikin Patel Pharmacist and Business Owner Sanil Patel Civil Engineer Dharmendra Patel Civil Engineer and Business Owner Kiran Patel Civil Engineer and Business Owner Jayesh Patel Civil Engineer and Business Owner Rober Joe Lucero
Erik Knutson Chief Executive Officer of CanCore Concepts & Co-Founder of Keef Cola & Denver Packaging Company
Director of Business Development
Travis Tharp Chief Operating Officer of SeroVita Holdings Corporation Chief Operating Officer
Daniel Kehoe Supply Chain Manager Director of Quality Assurance Scot Knutson Business Development Officer General Manager & Security Coordinator Mark Stevenson Senior Account Executive Director of Sales and Marketing Stephen Paul Cape Director of Formulation Sciences Research and Development Coordinator Marc Howard Graboyes President & CEO Compliance Coordinator Dorothy Beth Colagiovanni Pharmaceutical Developer Director of Processing
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 28 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2009 Blue Sky Valley Ventures, LLC
Limited Liability Company
3564 Sturbridge Place Allentown PA 18104 (484) 951-8035 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Blue Sky Valley Facility 600 Kuebler Road Easton 18040 Northampton Forks Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kristina Garcia Mrs. CEO - Women Grow CEO Peter Patrick Polt Mr. Real Estate Development Director of Operations Luke Olsen Mr. Business Owner THC Chief Horticulturalist John Hess Mr. Security Director of Security Bridget Ann Hill-Zayat Mrs. Attorney General Counsel Michael Chris Miller Mr. I.T. Security Chief Technology Officer Tyrone Jamul Russell Mr. Strategic Planning Employee Thomas Riegel Mr. Business Owner Financial Baker Barry Yoder Mr. Business Owner Financial Backer Jason Nedzinski Mr. Business Owner Financial Backer Kevin Greene Mr. Sales & Marketing Employee Louis Intile Mr. Read Estate Development Principal James Byszewski Mr. Real Estate Management Principal Lori Chapman Ms. Operations Principal Rachelle Wilson Ms. Community Outreach Principal
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 29 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2010 TRUEMED HEALTH CARE PA LLC
Limited Liability Company
1801 Market St Suite 2300 Philadelphia PA 19103 267-338-
1368 267-338-1335 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality Nirvana Center Grower Processor Facility Allentown 2118 Hanover St Allentown 18109 Lehigh City of Allentown
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ihasan Ullah Medical Marijuana Business Operator CEO Sheraz Ahmad Warraich Medical Marijuana Business Operator CFO Nighat Naseem Ullah Medical Marijuana Business Operator Sarah Michelle Warraich Medical Marijuana Business Operator COO Huma Ihsan Ullah Medical Marijuana Business Operator CMO Pedro J Sotomayor Medical Marijuana Licensing & Compliance Consultant Director of Marketing
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 30 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-2011 PharmaCann Penn Plant LLC
Limited Liability Company
1735 Market St, Ste A #456 Philadelphia PA 19103-
7501 708.919.5641 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PharmaCann Penn Plant LLC 104 Life Science Drive Olyphant 18447 Lackawanna Olyphant
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Teddy Scott Business Executive Chief Executive Officer Stephen Schuler Private Equity Executive Executive Director and Investor Norah Scott Consultant Co-Founder and Passive Investor
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 31 of 99 July 31, 2018
REGION 3 – SOUTHCENTRAL Business Information
ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3001 JD Meds, LLC Limited Liability Company
307 Spencer Creek Drive Duncansville PA 16635 717-552-1968 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
JD Meds, LLC 540 Fulton Drive McConnellsburg 17223 Fulton Ayr Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
James William Delaplaine Owner/Operator of Hustontown Beverage LLC, Elders Branch Farms and Doran Enterprises LLC
CEO
James Raymond Daversa Owner/Operator of Daversa Construction Corporation and Daversa Pest Control COO
James Raymond Daversa Jr Operations Manager of Daversa Pest Control Director of Operations
Sharon Elaine Jones CEO/President of Jones Diversity Chief Diversity Officer & Community Impact Officer
Bobbi Louise Clark Account Executive at Kee-Ta Quay Construction CFO Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 32 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3002 Terra Pharm, Inc. S-Corporation 305 North Old Stonehouse Road Carlisle PA 17015 717-275-3390 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Terra Pharm, Inc. 1901 North Cameron Street Harrisburg 17103 Dauphin Harrisburg
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Mark Dominick Toigo CEO/Director CEO & President Tammy A Royer Senior Vice President Rite Aid Corporation COO Paul Smith Labor Allocation Chief Diversity Officer Ryan David Simpson CFO CFO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 33 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3003 Terra Pharm, Inc. S-Corporation 305 North Old Stonehouse Road Carlisle PA 17015 717-275-3390 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Terra Pharm, Inc. 305 North Old Stonehouse Road Carlisle 17015 Cumberland Middlesex
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Mark Dominick Toigo CEO/Director CEO & President Tammy A Royer Senior Vice President Rite Aid Corporation COO Paul Smith Labor Allocation Chief Diversity Officer Ryan David Simpson CFO CFO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 34 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3004 PA Precision Formulations LLC
Limited Liability Company 2270 Park Place Slatington PA 18080 570-468-8832 PAPrecisionFormulations
@gmail.com Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Harrisburg – Cultivation and Processing 3465 N 6th St Harrisburg 17110 Dauphin Susquehana Twshp
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Anne Yang-Dwyer CEO CEO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 35 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3005 Green Leaf Medicals, LLC
Limited Liability Company
135 Horton Drive Saxton Pennsylvania 16678 240-888-6780 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Green Leaf Medicals, LLC 135 Horton Drive Saxton 16678 Bedford Saxton
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Philip T Goldberg Medical Cannabis Chief Executive Officer (CEO) Kevin I Goldberg Medical Cannabis/Law General Counsel and Chief Operating Officer Susanne Goldberg Scientist Chief Scientific Officer Dan Robin Lawyer Board of Managers Maneesh Sharma Medical Doctor -Pain Management Board of Managers Frank Boston Lawyer/Government Relations Board of Managers
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 36 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3006 SAI Fresh Farms, Inc S-Corporation 433 Fickes
School Road York Springs PA 17372 (717) 649-2509 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
SAI Fresh Farms, Inc 433 Fickes School Road York Springs 17372 Adams Huntington
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kanthy Vaylay President President & CEO Ravi Vaylay Founder/CEO/Grower Founder & COO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 37 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3007 Aspen Ranch, LLC
Limited Liability Company
475 W Governor Road Hershey PA 17033 (717) 571-2402 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Aspen Ranch 1017 Maclay Street Harrisburg 17103 Dauphin City of Harrisburg
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Silvan Lutkewitte III Consultant Member Robert Yosaitis Business Owner Member Robert Ortenzio Executive Chairman, Co-founder Member David Chernow CEO Member Martin Jackson CFO Member Justin Bruce VP & CMO Member Daniel Bruce CEO Member Michael Robinson President, PAP Technologies, Inc. Member Richele Durbin Admin Assistant & Manager Member Marques Colston Entrepreneur Member Mark Turner VP Member
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 38 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3008 Sirona Cultivation, LLC
Limited Liability Company
705 Donnan Ave Washington PA 15301 717-554-2377 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Sirona 2975-2980 Jefferson Street Harrisburg 17110 Dauphin City of Harrisburg
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Holden Farahani Manager of Medical Marijuana Organization CEO/Founder Timothy Michael Goodman Self-Employed COO/Founder Jose Palacios Professor of Aerospace Engineering CTO Walter Dennis Bednarski Retired Steel Worker Director of Plant Nicole Brooke Bosley Surgeon Medical Advisor Michele Mosier Pharmacist Medical Advisor
Alisa Margaret Stack Senior Executive Service Dept of Defence Security and Compliance Director
Angie Sharrer Mom/Advocate Patient Liaison Advisor Courtney Ramous PhD Self Employed (PhD Psychology) Medical Advisor
Franklin Lewis Dorman Jr. Associate Professor of Biochemistry and Molecular Biology Research Team
Jack Cochran Analytical Chemist Research Team Mark John Guiltinan Phd Professor of Plant Molecular Biology Research Team Robert D. Cameron Adjunct Professor of Landscape Architecture Research Team Sunita Chakraborty Controller Controller Daniel Craveiro De Sa Director of Operations Director of Operations Doug Gregory Whaley Consultant
Phase II Grower/Processor Applicant Information
Page 39 of 99 July 31, 2018
First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Clorinda Delfina Walley CEO of non profit charitable organization Financial Backer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 40 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3009 Five-Leaf Remedies Inc. Benefit Corporation
135 N. George St York PA 17401 717-848-
4900 717-843-9039 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Grow Op Farms Pennsylvania 213 E Poplar St York 17401 York York City
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Rebecca Kingston Countess Education Vice President of Administrative Services Christina Marie Kauffman Writer/Entrepreneur Vice President of Communications, Secretary of the Board Grace Theresa Quartey Certified Public Accountant Treasurer James Edward Parco Professor/Dispensary Owner Science Advisor Juan Arato Kimble Engineer Chairman of the Board Pamela Sue Parco Dispensary Owner/Operator Board Member Robert William McKinley CEO CEO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 41 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3010 Delaware Valley Health and Wellness, LLC
Limited Liability Company
1801 Market St. Suite 2300 Philadelphia PA 19103 201-253-
6982 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Delaware Valley Health and Wellness, LLC 8153 B Lincoln Way West St. Thomas 17252 Franklin St. Thomas
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kenneth Wilbur Thompson Business owner Member Adrienne M McKinney Principal Community Liason Vishal R Patel Principal Vice Pres. Jusmin R Patel Principal President
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 42 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3011 Curio Cultivation and Processing PA, LLC
Limited Liability Company
c/o Trent & Associates; Attn: Darryl Trent; 4101 Gypsy Lane
Philadelphia PA 19129 (443) 652-4020
(410) 705-0997
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Curio Wellness 145 Morgan Lane York 17406 York Manchester Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Michael Gary Bronfein Entrepreneur/Investor/CEO Chief Executive Officer and Managing Member Brad Lawrence Friedlander Executive Chief Financial Officer Theodore Eugene Dumbauld Executive Chief Operating Officer Darryl Trent Executive; Consultant Regional President for Pennsylvania
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 43 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3012 PharmaCann Penn Plant LLC
Limited Liability Company
1735 Market St, Ste A #456 Philadelphia PA 19103-
7501 708.919.5641 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PharmaCann Penn Plant LLC Lot 25, Bedford County Business Park I Bedford Township 15522 Bedford Bedford Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Teddy Scott Business Executive Chief Executive Officer Stephen Schuler Private Equity Executive Executive Director and Investor Norah Scott Consultant Co-Founder and Passive Investor
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 44 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3013 Pure Keystone LLC Limited Liability Company
1680 Beechwood Blvd. Pittsburgh PA 15217 720-335-1386 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Pure Keystone LLC Lot 21 in the Bedford County Business Park 1 – 5.04 acres Bedford Township 15522 Bedford Bedford
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robert Johnson Chief Diversity Officer/Attorney Principal - Chief Diversity Officer/General Council Chelsey Elizabeth Joseph Owner/CEO, TDFT Limited Principal - Chief Operating Officer Alan Kane Owner/Chief Financial Officer, TDFT Limited Principal - Chief Financial Officer
Katina Kenyon Owner/Chief Technology Officer, TDFT Limited Principal - Chief Technology Officer
Jill Katherine Lamoureux Owner/Chief Compliance Officer, TDFT Limited Principal - Chief Executive Officer
Jahan Marcu PHD Chief Auditor Principal - Chief Science Officer Gali Nuriel Owner/CEO Idigo, LLC Principal - Chief Quality Assurance Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 45 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3014 BrightStar Biomedics LLC
Limited Liability Company
425 Spruce Street, Suite 200 Scranton PA 18501 717-461-8295 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
BrightStar 2322 N 7th Street Harrisburg 17110 Dauphin City of Harrisburg
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robert Vitale President & CEO, Horizon Facility Services CEO Josh Genderson President & CEO COO Josephine Vitale Medical Device Sales Manager President Ronald Anthony Furiato, Jr. Medical Device Sales Security manager Martin Karl Till Regional President at J.G. Petrucci Company, Inc. General Manager Megan P. Shank Director of Sales & Medical Cannabis Education VP Sales
Adam Kavalier Chief Scientific Officer Holistic Remedies and Organic Wellness Chief Scientific Officer
Katie Donna Day Rev. Reverend Advisory Board Michelle Zenie Non-Profit Executive Director Adv Bd Samantha A. Edwards Media Specialist, Parkland School District Owner only Vince Canales President of Fraternal Order of Police VP Security Sarah Rae Edwards Housewife Owner only Diane Molewski Housewife Principal, Financial Backer Dona Elizabeth Hall Occupational Therapist Owner only Mark Li MD, PhD Chief, Division of Neurosurgery Chief Medical Officer Farooq A. Qureshi MD Physician Clinical Program Director Alan T Paynter M.S. Associate Director of Admissions, Dickinson College Diversity and Inclusion Officer
Phase II Grower/Processor Applicant Information
Page 46 of 99 July 31, 2018
First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
Teresa F Winslow MD, N/A Management Consultant/University Executive Head Pharmaceutical Standards, QC Manager
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 47 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3015 Whole Plants LLC Limited Liability Company
2108 Blairmont Drive
Upper St. Clair PA 15241 (212) 925-6660 (717) 674-6033 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
WP Health Foundry 113 N. 8th Avenue Lebanon 17042 Lebanon City of Lebanon
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business James L Smith Investment Banker CEO David W. DeCastro Professional Athlete Board Member Gary Geiger Sales Board Member James M Burnett Board Member Alvin L Dupree Professional Athlete Board Member William P Hanson Senior Manager COO Glenn R Mahone Esq. Attorney General Counsel
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 48 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-3016 Pure Agriceuticals, LLC
Limited Liability Company
232 Regent Ct State College PA 16801 484-467-7048 814-861-3811 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Pure Agriceuticals 10210 Fairgrounds Road Huntingdon 16652 Huntingdon Smithfield Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Linda W Schaffer Venture Capital Advisor Chief Executive Officer Sandra L Poole Manager, S&A Homes Community Liaison Richard F DeFluri Financial Advisor Member, Board of Directors Robert E Poole Chief Executive Officer Member, Board of Directors Thomas M Novitsky Owner, Mid-State Access and Mobility Chief Operating Officer
John J Schaffer Chief Compliance Officer, Investment Advisor, Attorney Chief Financial Officer and Compliance Officer
Ryan J McCombie Independent Consultant and Board Member Director of Security Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 49 of 99 July 31, 2018
REGION 4 – NORTHCENTRAL Business Information
ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4001 INSA, LLC Limited Liability Company
2384 N. Old Trail Rd Shamokin Dam PA 17876 570-431-3531 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
INSA, LLC 2384 N. Old Trail Rd. Shamokin Dam 17876 Snyder Shamokin Dam Borough
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Peter Thomas Gallagher Chief Financial Officer Chief Financial Officer Patrick Charles Gottschlicht Chief Operating Officer Chief Operating Officer Mark Stephen Zatyrka Chief Executive Officer Chief Executive Officer Steve Michael Reilly Jr. General Counsel/Chief Compliance Officer Chief Compliance Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 50 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4002 Power Plant Medicinal, INC S-Corporation 4 North 6th
Street – Suite 2 Shamokin PA 17872 570-878-1166 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Power Plant Medicinal, INC 1226 Park Avenue Marion Heights 17832 Northumberland Mount Carmel Twp.
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kenneth Milton Pollock Executive Trustee & Director Marion Francis Pollock Executive President and CEO Connie Jo Pollock Rado Executive Trustee & Secretary Megan Ann Millo Executive Vice President and COO Kevin Hogan Certified Public Accountant Treasurer & CFO Murad Elbattah Business Professional Advisory Board Director
Edward Russell Missal Veteran and Cogeneration Plant Manager Director of Environmental Resources and Advisory Board Director
Malcom L. Conway Chiropractor Advisory Board Director Marlon Richard Pitts Business Professional Advisor Board Director Andrew B Durako Jr Health Care Executive Advisory Board Director Patrick Joseph Kerrigan Physician Advisory Board Director
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 51 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4003 Sirona Cultivation, LLC
Limited Liability Company
705 Donnan Ave Washington PA 15301 717-554-2377 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Sirona 131-151 Medals Lane Bellefonte 17110 Centre Bellefonte Borough
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Holden Farahani Manager of Medical Marijuana Organization CEO/Founder Timothy Michael Goodman Self-Employed COO/Founder Jose Palacios Professor of Aerospace Engineering CTO Walter Dennis Bednarski Retired Steel Worker Director of Plant Nicole Brooke Bosley Surgeon Medical Advisor Michele Mosier Pharmacist Medical Advisor Alisa Margaret Stack Senior Executive Service Dept of Defence Security and Compliance Officer Angie Sharrer Mom/Advocate Patient Liaison Advisor Courtney Ramous PhD Self Employed (PhD Psychology) Medical Advisor Franklin Lewis Dorman Associate Professor of Biochemistry and Molecular Biology Research Team Jack Cochran Analytical Chemist Research Team Mark John Guiltinan PhD Professor of Plant Molecular Biology Research Team Robert D. Cameron Adjunct Professor of Landscape Architecture Research Team Sunita Chakraborty Controller Controller Daniel Craveiro De Sa Director of Operations Director of Operations Doug Gregory Whaley Consultant Clorinda Delfina Walley CEO of non profit charitable organization Financial Backer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 52 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4004 Sanctuary Medicinals of Penn LLC
Limited Liability Company
1425 Locust Street Unit 6B Philadelphia PA 19102 941-927-8700 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Sanctuary Medicinals of Penn LLC 401 East Front Street Freeburg 17827 Snyder Borough of Freeburg
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jason Alan Sidman CEO/Founder CEO/COB Kahoru Watanabe Entrepreneur/COO Sanctuary Florida Director of Diversity and Community Affairs/Board Jacqueline B. Watanabe Attorney Corporate Secretary of the Board Tony John Payton Lobbyist Board Thane Martin Entrepreneur/CPA CFO/Treasurer Franklin Evaristo Caldera Physician Chief Medical Officer (CMO) Steven Zachary Johnson II CEO/Entrepreneur COO Kirti Desai Real Estate Developer/Investor Board Kahiga Tiagha Entrepreneur/Attorney Board/Director of Compliance
James Charles Alex Entrepreneur/President Sanctuary Medicinals Board
Mark Anthony Johnson Entrepreneur/Security Consultant Director of Security Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 53 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4005 PharmaCann Penn Plant LLC
Limited Liability Company
1735 Market St, Ste A #456 Philadelphia PA 19103-
7501 708.919.5641 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PharmaCann Penn Plant LLC Lot 6, Industrial Park Road Coal Township 14788 Northumberland Coal Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Teddy Scott Business Executive Chief Executive Officer Stephen Schuler Private Equity Executive Executive Director and Investor Norah Scott Consultant Co-Founder and Passive Investor
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 54 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4006 Shamokin-Coal Township Greenery Inc. C-Corporation 700 N.
Franklin St. Shamokin PA 17872 570-713-4747 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Shamokin-Coal Township Greenery Inc. 8782 State Route 61 Coal Township 17866 Northumberland Coal Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business John Gembic Judge Principal Tehani Marie Shingara Construction CEO Erin Elizabeth Phillips Consultant COO Victor Emanuel Northern Higher Education CFO Bethany Kathryn Niebauer Writer CCO Mark Joseph Kemper Pharmacist CPO Brandon Darel McFarland Insurance CHRO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 55 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4007 Greentree Dynamics, LLC
Limited Liability Company
911 Montgomery Ave, Suite 13
Penn Valley PA 19072 610-766-2290 610-658-0143 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
270 Rolling Ridge 270 Rolling Ridge Drive Bellefonte 16823 Centre Benner Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jerry L Burton Medical Professional CEO Jason A Greene Technology Specialist COO Rene Gulliver CFO CFO George Scorsis CEO Chief Industry Advisor Brady James Cobb Lawyer Chief Legal Council Rene Rubin Medical Doctor Chief Medical Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 56 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4008 Parea BioSciences, LLC
Limited Liability Company
21 State Avenue, Suite 102
Carlisle PA 17015 570-218-4402
1-855-246-1234 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Parea BioSciences 2000 Northwestern Drive Coal Township 17866 Northumberland Coal Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Krista Krebs Chief Executive Officer Mary Pat Julias Chief Financial Officer Umamaheswar Siripurapu Pharmacist Senior Advisor Joseph Morgan Medical Doctor Medical Advisor Kathleen Dunkelberger Registered Nurse Director of Patient, Community & Government Outreach Benjamin Horner Director of Cultivation Jeffrey James Chamberlain Pharmacist Director of Processing Ryan Hedrick Chief Operations Officer Nicole Moyers Director of Diversity and Human Services Programs Michael Cranga Chief Security Officer Trace Hall Director of Project Implementation Melissa Foreman Director of Quality Assurance and Packaging Debra Van Meter-Altland Chief Compliance Officer David Burns Director of Security and Inventory Management
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 57 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-4009 Pure Keystone LLC Limited Liability Company
1680 Beechwood Blvd. Pittsburgh PA 15217 720-335-1386 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Pure Keystone LLC Lot 9 – Lamar Township Business Park – 101 Heckmans Gap Road. Mill Hall 17751 Clinton Lamar Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robert Johnson Chief Diversity Officer/Attorney Principal - Chief Diversity Officer/General Council Chelsey Elizabeth Joseph Owner/CEO, TDFT Limited Principal - Chief Operating Officer
Alan Kane Owner/Chief Financial Officer, TDFT Limited Principal - Chief Financial Officer
Katina Kenyon Owner/Chief Technology Officer, TDFT Limited Principal - Chief Technology Officer
Jill Katherine Lamoureux Owner/Chief Compliance Officer, TDFT Limited Principal - Chief Executive Officer
Jahan Marcu PhD Chief Auditor Principal - Chief Science Officer Gali Nuriel Owner/CEO Idigo, LLC Principal - Chief Quality Assurance Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 58 of 99 July 31, 2018
REGION 5 – SOUTHWEST
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5001 Terra Pharm, Inc. S-Corporation 305 North Old Stonehouse Road Carlisle PA 17015 717-275-3390 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Terra Pharm, Inc. Rosedale Site, Cambria County Tax Map No. 84-000.-100.004 Johnstown 15901 Cambria Johnstown
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Mark Dominick Toigo CEO/Director CEO & President Tammy A Royer Senior Vice President Rite Aid Corporation COO Paul Smith Labor Allocation Chief Diversity Officer Ryan David Simpson CFO CFO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 59 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5002 Hippocratic Growth, LLC S-Corporation 320 High
Street Suite A Chestertown Maryland 21620 610-329-6271 443-262-8045 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Hippocratic Growth, LLC 2530 Thomas Avenue Jeannette 15644 Westmoreland Jeannette
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ashley Ghee Colen Cannabis Industry/Inventor CEO Paige Elizabeth Colen Cannabis Industry/Inventor COO Stephen Zosel Meehan Attorney at Law Chief Legal Officer Antonia Scott Ness CFA CFO Davis Weizhong Cheng Ph.D. Ph.D. Biomedical and medicinal plant scientist Chief Science Officer Jamie L Fleetwood Pharm.D. Pharm.D. Chief Compliance Officer Haydee Escalante Communications and Marketing Chief Marketing Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 60 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5003 West Penn Labs, LLC
Limited Liability Company
℅ Thomas Ryan, 355 Lincoln Highway North Versailles PA 15137 412-952-6206 412-646-2231 Ryan.tom212@
gmail.com
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
West Penn Labs 1 Constitution Blvd Aliquippa 15001 Beaver Aliquippa
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Thomas R. Ryan Executive CEO Thomas J. Ryan CPA CFO James L Black Executive COO Frank S Torok Physician CMO Trevor Reed Executive Vice COO Long Duong Executive Vice COO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 61 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5004 Steele Farma Limited Liability Company
1055 Thomas Covered Bridge Road Indiana PA 15701 541-213-4298 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Steele Farma 1055 Thomas Covered Bridge Road Indiana 15701 Indiana Indiana
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Robin Dee Kluge Real Estate Consultant CEO Rustin David Kluge Chief Cannabis Officer Darrell L. Crapps Co. Founder & CEO Executive Director
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 62 of 99 July 31, 2018
Business Information
ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5005 Maitri Genetics, LLC Limited Liability Company
938 Penn Ave, Suite 702 Pittsburgh PA 15222 (724) 880-
0554 (888) 258-1805 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Maitri Genetics, LLC 120 Beta Dr. Pittsburgh 15238 Allegheny O’Hara Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Corinne R Ogrodnik Executive CEO Joseph V Vesely Jr Executive COO Jimil B Wilson Executive CFO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 63 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5006 BCI2, LLC Limited Liability Company 101 Timothy Ln Butler PA 16001 724-290-1595 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Butler County Grower/Processor Facility 169 Hollywood Dr Butler 16001 Butler Butler
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Kelly Giles VP Future POS CEO John Giles COO COO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 64 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5007 Greenmart of Pennsylvania, LLC
Limited Liability Company
815 N Orianna Street #A Philadelphia PA 19123 724-856-0323 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Greenmart Property at Talbot and 9th Braddock 15104 Allegheny Braddock Borough
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Elizabeth Stavola Operations Owner/CEO/Financial Backer Tenisha Williams Community Outreach VP Julie Winter General Manager - Dispensary COO Jason Gully COO Operations Director Krishna Singh Nuclear Scientist Chairman of the Board of Directors Kristen Shaunte Dade-Sims HR Admin Director of Human Resources Kyle Aaron Renz Consultant Director of Training and Development Rose Schultz Assistant Manager Justin Joel Gonzalez Director of Cultivation ops Obiajulu Nwizugbo Wholesale Manager Myles Remson Trim room manager Victor Madril Marketing Director Leo Marcel Bridgewater LMR Technician Trisha Scott Chris Wendell Collins Director Miles Douglas Thompson Assistant project scientist Ashli Gaulette Nurse Bryant Pierce Lead extractor
Phase II Grower/Processor Applicant Information
Page 65 of 99 July 31, 2018
First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Caroline Clark Retired Captain Saleha Qamer Awan Finance Associate
Ibere Calvo Medical Marijuana Cultivation Consultant and Hydroponic Store Owner
Director of Cultivation
Tenisha Kerra Victor Project Manager Julie Ann Winter COO east coast ops
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 66 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5008 Mission Pennsylvania III, LLC
Limited Liability Company
5060 N. 40th Street, STE 120 Phoenix AZ 85018 602-730-4346 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Mission Pennsylvania III, LLC 2121 Robinson Blvd Pittsburgh 15221 Allegheny Pittsburgh city
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
Sean William Gallagher Retail Operations Executive Owner, Managing Partner (Principal/Financial Backer)
Victor Herbert Serna IT Owner, Managing Partner (Principal/Financial Backer)
Leise M. Rosman COO COO Lirit Nathaly Franks Research Director Research Director
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 67 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5009 PennAlt Organics Inc C-Corporation 629 Wood Street Harmony PA 16037 1.412.273.
4258 1.724.473.4259 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Penn Health’s Cultivation Facility 4020 Vision Way Lemont Furnace 15456 Fayette North Union
Township Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Stormy D. Simon Business Consultant Chief Executive Officer Nigel Kamal Dandridge Cultivation Consultant Chief Operating Officer Ronald W. Zorn Jr. Business Owner President, President of the Board Shemariah E. Waggoner Diversity and Inclusion Consultant Chief Diversity & Inclusion Officer Suzanne Arlene Sisley MD Medical Professional, Physician Chief Clinical Officer – Head of Patient Education
Frank Joseph Costa MD Medical Professional, Urologist, Chief Medical Director
Chief Medical Officer – Head of Physician Education, Member of the Board, Financial Backer
John Lee Smolic Business Owner Executive Vice President, Vice President of the Board
Robin Marie Guter RPh Pharmacist Consultant Medical Director - Head of Business Development
Michael Austin-Lee Mayes Business Owner, Operations Consultant Director of Operations
Dawn Fuchs-Heiser Business Owner, Transportation Consultant
Director of Transportation, Member of the Board, Financial Backer
Lynnette C Stein HR Professional Director of Human Resources Roseleena Artitavadee Blair Extraction Consultant Processing Director
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 68 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5010 BAY, LLC Limited Liability Company
475 W Governor Road Hershey PA 17033 (717) 571-2402 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Cure Pennsylvania 209 Cove Run Road East Brady 16028 Armstrong Brady’s Bend Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Silvan Lutkewitte III Consultant Member Robert Yosaitis Business Owner Member Robert Ortenzio Executive Chairman, Cofounder Member David Chernow CEO Member Martin Jackson CFO Member Justin Bruce VP & CMO Member Daniel Bruce CEO Member Gary Bruce Engineer Member Jay Martin President, Silgan Plastics Member Rocco Ortenzio Vice Chair, Select Medical Member Daniel Larkin Glazing Contractor Member Michael Robinson Owner, PAP Technologies Member
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 69 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5011 Phyto Care Labs LLC
Limited Liability Company
28th Floor, 525 William Penn Place Pittsburgh Pa 15219 416-716-5169 hamish@whitesheepcorp
.com Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Phyto Care #1 1 Alpha Drive Pittsburgh 15238 Allegheny Harmarville
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Hugh Hamish Sutherland Executive CEO Marc Mann VP Sales and Marketing Director
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 70 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5012 PharmaCann Penn Plant LLC
Limited Liability Company
1735 Market St, Ste A #456 Philadelphia PA 19103-
7501 708.919.5641 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PharmaCann Penn Plant LLC 1017 River Avenue Johnstown 15901 Cambria Johnstown
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Teddy Scott Business Executive Chief Executive Officer Stephen Schuler Private Equity Executive Executive Director and Investor Norah Scott Consultant Co-Founder and Passive Investor
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 71 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5013 Newcine, LLC Limited Liability Company
402 Stephanie Court Greensburg PA 15601 412-559-7706 michaelsundo@gmail.
com Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
510 Thomas School Road Greensburg 15601 Westmoreland Hempfield Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Dustin William Freas CEO Novus Pain Management Principal/Financial Backer/Officer William Erdice Freas CEO Careventures Principal/Financial Backer/Officer Kevin Casey Gibbs Managing Partner, Merida Capital Partners Principal/Financial Backer/Officer Harris Hart Silver Entrepreneur Principal/Financial Backer/Officer
Michael Anthony Sundo Esq. COO, Longboat Capital Principal/Financial Backer/ Chief Financial Officer
Damean William Freas D.O. Chairman, Maryland Board of Physicians Operator/Chief Science Officer Kimberly Ann Brown PhD President, Advent Laboratories Operator/ Chief Executive Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 72 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5014 Galenas Pennsylvania LLC
Limited Liability Company
3553 Oakleaf Drive Pittsburgh PA 15227 330-998-0980 Michael.Scheeser@
galenas.net Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Galenas Pennsylvania LLC 615 East Butler Road Butler 16002 Butler Summit Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Philip B. Jones Supply Chain Consultant Member and President & CEO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 73 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5015 Alternative Medicines Group LLC
Limited Liability Company
1501 Preble Avenue Pittsburgh PA 15233 412-802-
2516 412-802-2501
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Metro Center 1501 Preble Avenue Pittsburgh 15233 Allegheny City of Pittsburgh
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Dave N Colaizzi CEO CEO Jeff H Slawsky Finance Consultant CFO Charles W Fetrow Pharmacy Consultant CPO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 74 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5016 Hanging Gardens LLC
Limited Liability Company
1229 East Colona Street Philadelphia PA 19125 (774) 551-
6875 (774) 551-6875
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Iron Street 108 Iron St Johnstown 15906 Cambria Johnstown
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Tomas Gabriel Casals Engineer Chief Development Officer Shane Patrick Kenney Medical Marijuana Executive Chief Financial Officer Ethan Michael Moon Medical Marijuana Executive Chief Operating Officer Donald James Kenney Corporate Executive Chief Executive Officer Kristi Elena Fults Social Worker Head of Human Resources
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 75 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5017 Sunset Hills Medical, LLC
Limited Liability Company
1120 Three Degree Road Butler PA 16002 724-612-8504 724-453-2325 kurt@sunsethills
medical.com Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Sunset Hills Medical, LLC 1120 Three Degree Road Butler 16002 Butler Forward Twp.
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Colleen Elizabeth Ekas Director of Marketing Pres / CEO Kurt Martin Baumgartel Sr Health Executive VP / COO Daniel Frederick Allen CFO CFO / Treas Tyson Lee Hilovsky Financial Advisor Secretary Phillip David Plant CEO VP
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 76 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5018 Urban River Growers
Limited Liability Company
2400 Leechburg rd
New Kensington PA 15068 724-339-2220 724-339-9959 info@urbanriver
group.com Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Urban River Group, LLC Schreiber Industrial Park, Building 44, Industrial Industrial BLVD New Kensington 15068 Westmoreland New Kensington
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Charles H Booth Jr. Chairman of the Board, Burrell Group, Inc. Chairman of the Board Robert John Weil President and CEO, Burrell Group, Inc. Chief Executive Officer Jennifer Patrice Greenwall CFO, P&M Management, Inc. CFO Leslie Uncapher Zellers Attorney General Counsel/ Compliance Officer
Richard R. Kwesell Manager, Strawberry Fields and Heartland Industries COO
Michael Kwesell Manager, Strawberry Fields and Heartland Industries Chief Business Development Officer
Raymond F. Sekula Jr. Medical Physician and Surgeon Chief Medical Officer Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 77 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5019 Keystone Integrated Care GP, LLC
Limited Liability Company
700 River Ave Suite 334 Pittsburgh PA 15212 844-563-2837 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Keystone Integrated Care GP RIDC Parcel 378-B-80 S Linden Street Duquesne 15110 Allegheny City of Duquesne
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Thomas James Perko Business Owner Board Member Steven D’Achille Business Owner Board Member Mike Cherock Business Owner Board Member Heather Shuker Business Owner Board Member Jose Raymundo Surgeon Board Member
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 78 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5020 Pure Keystone LLC Limited Liability Company
1680 Beechwood Blvd. Pittsburgh PA 15217 720-335-1386 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Pure Keystone LLC Parcel ID: 378-B-80 South Linden Street, +/- 3 acre piece of real property Duquesne 15110 Allegheny Duquesne
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
Robert Johnson Chief Diversity Officer/Attorney Principal - Chief Diversity Officer/General Council
Chelsey Elizabeth Joseph Owner/CEO, TDFT Limited Principal - Chief Operating Officer Alan Kane Owner/Chief Financial Officer, TDFT Limited Principal - Chief Financial Officer Katina Kenyon Owner/Chief Technology Officer, TDFT Limited Principal - Chief Technology Officer Jill Katherine Lamoureux Owner/Chief Compliance Officer, TDFT Limited Principal - Chief Executive Officer Jahan Marcu, PHD Chief Auditor Principal - Chief Science Officer Gali Nuriel Owner/CEO Idigo, LLC Principal - Chief Quality Assurance Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 79 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5021 PA Cannabis Group, LLC
Limited Liability Company
10940 Guffy-Rilton Road Irwin PA 15642 412-370-
2500 724-864-2751
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PA Cannabis Group, LLC Facility 1538 Arona Road Irwin 15642 Westmoreland Hempfield Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Rodney Yemc Business Owner Chief Executive Officer; Chief Financial Officer; Manager. Christopher Richard Antypas Pharmacy Owner Quality Control Manager; Manager. Jesse Trapuzzano Business Owner Manager Steven Lee Anolik M.D. Medical Director Chief Medical Advisor; Manager. Russell Adams M.D. Physician Director Carol McDonough Manager
Mamadou Bassirou Balde Esq. Attorney Chief Compliance Officer; H.R. and Diversity Manager; Manager.
Charles Louis Caputo Esq. Attorney Principal; Financial Backer. Rick Muller Construction Principal; Financial Backer.
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 80 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5022 Solomon Ventures, LLC Limited Liability Company
7195 Alma Terrace Drive
New Albany Ohio 43054-
7028 614-571-3555 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Solomon Ventures, LLC
tax parcel identification number 0378-B-00080-0000-00, a street address of S. Linden Street and containing approximately five (5) gross acres of land area (See application for additional information)
Duquesne 15110 Allegheny City of Duquesne
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jacqueline Kay Solomon Self-Employed, President/CEO/CFO/Board of Directors President/Board of Directors
Katherine Annette Solomon Retired/Self-Employed, Secretary/Treasurer/Board of Directors Board of Directors
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 81 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-5023 3 Rivers Labs, LLC
Limited Liability Company
150 Gamma Drive Pittsburgh PA 15238 412-417-5366 412-967-7600 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
3 Rivers Labs 1676 Freeport Road Kittanning 16201 Armstrong North Buffalo Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Lalit Moolchand Chordia Dr. Management/CEO Director of Processing Supriya Poonglia Chordia Financial Backer Karen Susan Oleyar Sales CEO Heather Leigh Broman Director of Business Operations COO Morgan Robert Carr Consultant Director of Cultivation Theodore Hays Paul Business Owner Business Advisor Brian Peter Vicente Attorney Director of Regulatory & Compliance Affairs Barry David Budd II Police Officer Director of Security
Carol Ann Black Insurance Agent, Executive Director of Non-Profit Director of Community Relations
Thomas Carl Krivak Dr. Physician Medical Director Audra Joy Cannan Staff Accountant Chief Financial Officer Celine Burke Rihn Hotel Manager Director of Sales James Curcio Consultant Pharmacist Pharmacy Director Lucas Hays Paul General Manager Director of Facilities Genna Mary Cavanaugh Partner at Akoya Marketing Advisor Elhadj Layba Oulare Director of Technology Director of Technology
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 82 of 99 July 31, 2018
REGION 6 – NORTHWEST
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6001 Paragon Med Farm, LLC
Limited Liability Company
209 Green Ridge Road New Castle PA 16105 937-604-8209 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Paragon Med Farm, LLC 209 Green Ridge Road New Castle 16105 Lawrence New Castle
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jason Wilson Disabled Veteran CEO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 83 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6002 Greenmart of Pennsylvania, LLC
Limited Liability Company
815 N Orianna Street #A Philadelphia PA 19123 724-856-0323 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Greenmart 420 S. Cascade Street New Castle 16101 Lawrence New Castle 4th Ward
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Elizabeth Stavola Operations Owner/CEO/Financial Backer Tenisha Williams Community Outreach VP Julie Winter General Manager - Dispensary COO Jason Gully COO Operations Director Krishna Singh Nuclear Scientist Chairman of the Board of Directors Kristen Shaunte Dade-Sims HR Admin Director of Human Resources Kyle Aaron Renz Consultant Director of Training and Development Tenisha Kerra Victor Project Manager Rose Schultz Assistant Manager Justin Joel Gonzalez Director of Cultivation ops Obiajulu Nwizugbo Wholesale Manager Julie Ann Winter COO east coast ops Myles Remson Trim room manager Victor Madril Marketing Director Leo Marcel Bridgewater LMR Technician Trisha Scott Chris Wendell Collins Director Miles Douglas Thompson Assistant project scientist
Phase II Grower/Processor Applicant Information
Page 84 of 99 July 31, 2018
First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Ashli Gaulette Nurse Bryant Pierce Lead extractor Caroline Clark Retired Captain Saleha Qamer Awan Finance Associate
Ibere Calvo Medical Marijuana Cultivation Consultant and Hydroponic Store Owner Director of Cultivation
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 85 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6003 Agri-Kind LLC Limited Liability Company
511 Anthonys Drive Exton PA 19341 610-656-8083 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Agri-Kind GP 53 & 54 Canal St. Greenville 16125 Mercer Borough of Greenville
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jon Cohn Occupationally Disabled Consultant/Entrepreneur CEO/COO Craig McHugh Podiatrist/Ambulatory Care Center Owner COO /CMO
Kumar Bhargava Drug Development Director Merck / Business Development Chief Research Officer
Rebekah Watson Pharmacist/Medical Information Manage Director of Outreach & Care Scott Zukin Real Estate Developer Community Development Director Tejas (TJ) Ajmeri Finance- Innovative Hospitality Management CFO
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 86 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6004 Calypso Enterprises, LLC
Limited Liability Company
1540 East Lake Road Suite 300 Erie PA 16511 814-528-9024 814-528-9003 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Calypso Enterprises 910 Downing Ave Erie 16511 Erie City of Erie
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
Samuel Patton Black III CEO, Erie Management Group, LLC; 50% Owner HERO Diversified Associates, Inc. President of Calypso Enterprises, LLC
Soomi James COO, Erie Management Group, LLC; 50% Owner HERO Diversified Associates, Inc.
Secretary and Treasurer, Calypso Enterprises, LLC; COO Calypso Enterprises, LLC
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 87 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6005 Global Resource Operations, LLC
Limited Liability Company 6877 US 322 Franklin PA 16323-
8053 615-300-4133 615-255-6037 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Global Resource Operations 87 Liberty Lane Ringgold 15770 Jefferson Ringgold Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business April Amanda Arrasate Attorney CEO Kerrie B Badertscher Horticulturist COO William Daniel Fritz Physician Chief Medical Officer Peri W Higgins Financial Advisor CFO Mary A Parker Attorney Chief Legal Counsel Nickolas P Palacios Entrepreneur Chief Compliance Officer Jahan Phillip Marcu Biologist Board Member
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 88 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6006 Commonwealth Alternative Medicinal Options, LLC.
Limited Liability Company
363 Vanadium Road, Suite 106 Pittsburgh PA 15243 412-559-
9640 412-276-0935 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
CAMO Cultivation and Processing Facility 101 Martin Luther King Jr. Blvd. Farrell 16121 Mercer Farrell
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
James Richard Will Retired Owner/Operator Allstate Insurance; Risk Manager/Registered Securities Representative Allstate Financial
Principal, Chief Compliance Officer and Chief Risk Assessment Officer
Michael David Moody Chief Operations Officer, Commonwealth Alternative Medicinal Options, LLC Principal, Chief Operations Officer
Ryan Dougherty Miller Executive Vice President of Operations at OMG Farms Principal, Vice President of Strategic Communications
Brandon Martin McGuire US Army ROTC Recruiter Principal Leslie Will Mallory Pharmaceutical Sales Representative Principal Chief Education Officer
Matthew Ryan Mallory CEO of Mallory, Mallory and Associates; Founder/Principal CAMO HEMP
Principal, Executive Vice President, and Founder
Adam Reed Mallory Medical Sales Territory Manager Principal Patrick Joseph Van Meter Medical Sales Territory Manager Principal Peter Spiro Tsudis President and Executive of Tru Foods Chief Executive Officer Tillman Rushing Chief Financial Officer of Tru Food Chief Financial Officer
Michael Flory Pietragallo
Director of Security, Allegheny Health Network; Criterion Healthcare Security; Former National Security Agency Operations Coordinator for the Dept. of Defense
Chief Security Officer
Phase II Grower/Processor Applicant Information
Page 89 of 99 July 31, 2018
First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jason Anthony Yee Supply Chain Manager and Military Officer Chief Purchasing Officer
Patrick Timothy Redman Associate Regional Director, Medical Affairs for Biopharmaceutical Company; PhD in Neuroscience Chief Research Scientist
Nathan Edward Gazel Kelly Cannabis Consultant Vice President of Cultivation
Kristi Lee Kelly Executive Director Marijuana Industry Group (MIG); Consultant Vice President of Operations
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 90 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6007 Pennsylvania Partners, Inc. S-Corporation PO Box
222 Forbes Road PA 15633 724-237-7691 877-844-8131 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Bradford Regional Airport Multi-Tenant Building 212 Airport Road Lewis Run 16738 McKean LaFayette Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
Renee Drakos Petros Area Manager for Bridgestone Retail Operations Chief Revenue Officer / Director of Transportation
Victoria Ann Tinsley Licensed Practical Nurse in Commonwealth of PA Patient Advocate / Director of Product Education and Community Relations
Bernard Stanley Tinsley Jr National Director of Education and Development for Bridgestone Retail Operations
Secretary -Chief Operations Officer / Director Security and Compliance
Kevin Michael Tinsley Partner - Sunrise Real Estate Ventures, LLC. President, CEO / Chief Grow and Processing Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 91 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6008 Phyto Care Labs LLC
Limited Liability Company
28th Floor, 525 William Penn Place
Pittsburgh Pa 15219 416-716-5169 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Phyto Care #1 520 Jamison Ave Ellport 16117 Lawrence Ellwood City
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Hugh Hamish Sutherland Executive CEO Marc Mann VP Marketing Director
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 92 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6009 Newcine, LLC Limited Liability Company
402 Stephanie Court
Greensburg PA 15601 412-559-7706 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Lot 20 Monroe Woods Drive Clarion 16214 Clarion Monroe Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Dustin William Freas CEO Novus Pain Management Principal/Financial Backer/Officer William Erdice Freas CEO Careventures Principal/Financial Backer/Officer Kevin Casey Gibbs Managing Partner, Merida Capital Partners Principal/Financial Backer/Officer Harris Hart Silver Entrepreneur Principal/Financial Backer/Officer
Michael Anthony Sundo Esq. COO, Longboat Capital Principal/Financial Backer/ Chief Financial Officer
Damean William Freas D.O. Chairman, Maryland Board of Physicans Operator/Chief Science Officer Kimberly Ann Brown PhD President, Advent Laboratories Operator/Chief Executive Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 93 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6010 CWAZ Industries, LLC
Limited Liability Company
1126 Main Street Evanston Illinois 60202 773-793-
3829 270-897-2283 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
CWAZ Industries Green Ridge Road, PN#2404-107 New Castle 16105 Lawrence Neshannock Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
Zachary Charles Zises President and Chief Compliance Officer at Dispensary33, President at Pheno33 Chief Operating Officer
David Michael Neundorfer Chief Executive Officer at Linestream Technologies Chief Executive Officer
Oscar Samuel Hackett Chief Financial Officer & General Counsel at Rustic Pathways Chief Compliance Officer
Frederick Richelieu Reeves Jr. Pharmacist at Millington Pharmacy Head Pharmacist Martha Ellen Hackett Family Physician and CEO of Wellness Center Chief Medical Officer Don Edward Brinberg Gastroenterologist and CEO of Clinical Research Lab Chief Research Officer Thomas Joseph Lekan President of Thomas J. Lekan Security Consulting Chief Inventory Officer Robert Curtis Tarro Lieutenant at Parma Police Department Chief Security Officer Paul Lee General Manager at Dispensary33 Chief Product Officer Kristie Bunty Zises Chief Financial Officer at Dispensary33 Chief Financial Officer Julia Marie Maurer President of SilverLine Consulting Director of Human Resources Daniel Bennett Peck Chief Executive Officer at Filevault Director of Information Technology
Engdawork Admasu Engda Scientist of Analytical Chemistry at Olon Ricerca Bioscience Director of Extraction
John Robert De Carrier Owner of multiple McDonald's locations Director of Diversity
Phase II Grower/Processor Applicant Information
Page 94 of 99 July 31, 2018
First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business
Hyun Wook Pak Medical Marijuana Operations Consultant at Bedford Grow, Operations Consultant at Pheno33
Director of Cultivation, Extraction Manager
Catherine Lynn Ols Community Liaison at Green Director of Community Engagement and Patient Services
Kenneth Phillip Wulff Product Development Consultant for Nestle OSHA Specialist
Jonathan Robert Nelson Agronomy Consultant at Sustainable Plant Solutions, Assistant Superintendent at Fairlawn Country Club
Agronomist
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 95 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6011 Hanging Gardens LLC
Limited Liability Company
1229 East Colona Street Philadelphia PA 19125 (774) 551-
6875 (774) 551-6875 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Mahoning 133 Mahoning Avenue New Castle 16102 Lawrence New Castle
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Tomas Gabriel Casals Engineer Chief Development Officer Shane Patrick Kenney Medical Marijuana Executive Chief Financial Officer Ethan Michael Moon Medical Marijuana Executive Chief Operating Officer Donald James Kenney Corporate Executive Chief Executive Officer Kristi Elena Fults Social Worker Head of Human Resources
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 96 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6012 US Holistic, LLC Limited Liability Company
1229 Chestnut Street, #121 Philadelphia PA 19107 (609) 558 5877 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
US Holistic Corry Pennsylvania 7 Industrial Road Corry 16407 Erie Wayne Township
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Jaclyn L Moore PharmD Pharmacist, Executive CEO Phuong Diem Schmidt CPA Accountant CFO Philip W Barton Agriculture Chief Operating Officer Ryan J Duffy Agriculture Richard C. Shopene Chief of Police Director of Security and Logistics
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 97 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6013 Sunset Hills Medical, LLC
Limited Liability Company
1120 Three Degree Road Butler PA 16002 724-612-8504
724-453-2325 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
Sunset Hills Medical, LLC 151 Grand Avenue Clarion 16214 Clarion Clarion Borough
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Colleen Elizabeth Ekas Director of Marketing Pres / CEO Kurt Martin Baumgartel Sr Health Executive VP / COO Daniel Frederick Allen CFO CFO / Treas Tyson Lee Hilovsky Financial Advisor Secretary Phillip David Plant CEO VP
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 98 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6014 FarmaceuticalRx, LLC Limited Liability Company
2124 Penn Avenue Pittsburgh PA 15222 407-256-5307 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
FarmaceuticalRx 660 and 680 Martin Luther King Junior Boulevard Farrell 16121 Mercer City of Farrell
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Rebecca Lynne Myers Business Executive / Attorney Chief Executive Officer Joy Elisa Bochner Nutritionist Director of Health and Wellness Dietrich A Stephan Professor and CEO of LifeX Ventures Chief Science Officer
Source: Application section 25
Phase II Grower/Processor Applicant Information
Page 99 of 99 July 31, 2018
Business Information ID Number Name Org Type Address City State Zip Code Phone Fax Email
GP18-6015 PharmaCann Penn Plant LLC
Limited Liability Company
1735 Market St, Ste A #456
Philadelphia PA 19103-7501 708.919.5641 [email protected]
Source: Application section 1 & 23
Facility Information Name Address City Zip Code County Municipality
PharmaCann Penn Plant LLC Lot 6, Deerfield Road Greenville 16125 Mercer Hempfield
Source: Application section 2
Current Officer(s) First Name Middle Name Last Name Suffix Occupation Title in Applicant’s business Teddy Scott Business Executive Chief Executive Officer Stephen Schuler Private Equity Executive Executive Director and Investor Norah Scott Consultant Co-Founder and Passive Investor
Source: Application section 25